Tag: doctors

Doctors licensing examination cancelled after no show

The first licensing examination for doctors to be held in the Maldives has been cancelled after no doctors participated.

Speaking to local media, Maldives Medical Council President Dr Abdulla Afeef said that doctors chose not to participate in the examination after raising questions as to why only certain doctors were required to sit the test.

Haveeru reported that the examination was required for doctors who were given temporary licenses after 2013, saying that there were 15 Maldivian doctors fitting the criteria.

“The doctors in question were aware of the fact they were being given a temporary license to practice,” Haveeru reported Dr Afeef as saying. “The doctors will have two more chances to take the exam in June and December. If they do not participate their licenses will be cancelled.”

The Medical Council has previously said that the examination will consist of 150 multiple choice questions.

Source: Haveeru

Likes(0)Dislikes(0)

Doctors sent to all islands except three, says acting health minister

Arrangements have been made to send doctors to all inhabited islands of the Maldives with the exception of three islands, acting Health Minister Colonel (Retired) Mohamed Nazim has said.

Speaking at a ceremony held at the health ministry yesterday to sign agreements for building health centres in two islands, Nazim said medical officers would be sent to the three islands – Meemu Rainmandhoo, Meemu Veyvah, and Laamu Mundoo – as soon as accommodation was arranged.

Nazim said ensuring the presence of a medical officer in each inhabited island was a significant achievement and that progress has been made in the health sector in recent weeks.

Likes(0)Dislikes(0)

Orthopedic surgeries halted as IGMH fails to provide protective gowns

Read this article in Dhivehi

Indhira Gandhi Memorial Hospital (IGMH) has “temporarily delayed” some orthopedic surgeries after State Trading Organisation (STO) failed to supply lead gowns for medical staff, Deputy CEO Dr Mohamed Habeeb has said today.

He said the only surgeries affected by this would be those that require real-time X-ray monitoring, and that the hospital was expecting to receive the gowns very soon.

The lead gowns, like most other medical supplies for the hospital, are purchased through the STO, said Habeeb. The STO is a public company, with more than ninety two percent shares owned by the government.

“We have ordered replacements even last year. We might get them even by tonight. STO is working on it right now,” said Habeeb.

The purpose of lead gowns is to prevent the unnecessary and frequent exposure of medical staff to radiation which can cause cancer, infertility, and birth defects. While an estimated minimum of ten gowns are usually required for a surgery, the hospital currently has only two fit for use.

An IGMH nurse who often has to assist such surgeries told Minivan News that it has now been more than two years since they started requesting for new gowns. Letters have been written informing all relevant authorities of the situation, she added.

Orthopedic surgeries are done three days a week at the hospital, she explained, and on some days more than six of these surgeries require lead gowns.

“They [the remaining usable gowns] are usually taken by the doctors, saying they are closer to the source. Some staff have panicked after finding out they are pregnant. That risk is always there. And we are concerned about the patients as well. I have never seen any patient being offered a gown here,” she continued.

She stated that when patients need urgent attention, nurses cannot ignore and refuse to attend them even with the risks. Following a decision made by the department today, they will not be attending such surgeries until gowns are provided for them.

Head of the IGMH Orthopedic Department Dr Yoosuf Shan has told ‘Haveeru‘ that a memo highlighting the department’s decision has been sent to the heads of IGMH and the Health Minister.

“Radiation exposure could cause cancer. Most nurses assisting the surgeries are women. Without lead gowns their children could be born with birth defects. So as a precautionary measure we were forced to stop some of surgeries. They will continue only after we received lead gown,” Dr Shan was quoted as saying.

IGMH could not identify the exact reason for the delay in acquiring the gowns and the STO was unable to put Minivan News in touch with the relevant person.

Last November STO stopped supplying medicine to IGMH after it reached a set credit limit. At the time STO managing director Shahid Ali told local media that the Hospital had to pay approximately MVR 200 million to the organisation.

STO later resumed supples after raising the credit limit by MVR5 million in addition to the MVR411 million credit limit which includes payments going back to 2011.

Following the failure of other state owned company’s to pay almost US$40 million in bills owed to the STO, President Abdulla Yameen declared the organisation bankrupt last November. The company subsequently launched a campaign to cut operational costs by MVR50 million in 2014 (US$ 3,242,542).

Likes(0)Dislikes(0)

President suspends new pay structure for doctors

President Abdulla Yameen has suspended the implementation of a new salary structure for doctors.

The Ministry of Health and Gender had said the new structure, which came into effect on January 1, would increase doctors’ salaries. However, doctors have claimed their total take-home salaries would decrease by as much as MVR10,000 (US$648).

According to a statement by the President’s Office, the government is now reviewing the complaints regarding the new salary structure and will hold discussions with stakeholders to revise the structure.

Likes(0)Dislikes(0)

Government trials expansion of Aasandha to Maldivians in Sri Lanka, India

The government is this month expanding the Aasandha universal health insurance for Maldives nationals with resident visas in Sri Lanka and India to specific “empanelled” hospitals.

National Social Protection Agency (NSPA) Chair and State Minister State for Health Thoriq Ali Luthfee has said that to coincide with the Islamic Holy month of Ramadan, Maldives nationals residing in the two countries would now be covered for 397 surgical and medical procedures under the universal health scheme.

The coverage will be available at a set number of hospitals that have already been providing services under Aasandha in Sri Lanka and India.

The Aasandha universal health insurance program was introduced by former President Nasheed’s government in January 2012 and retained by President Waheed’s administration after the controversial transfer of power in February the same year.

The scheme, a public-private partnership with Allied Insurance, covers up to MVR100,000 (US$6500) in healthcare costs for Maldives nationals with valid national identity cards.

State Minister Luthfee claimed that the extension of the services to Maldivians residing in Sri Lanka and India was possible as a result of cutting systematic “waste” from the Aasandha system present from its inception under the previous government.

Healthcare challenge

The government has announced the launch of the new services at a time where health authorities have continued to come under criticism about limited health services being offered to patients domestically.

In June, President Waheed told staff at Indhira Gandhi Memorial Hospital (IGMH) in Male’ that his government was working to try and overcome “budgetary challenges” it has been facing in providing healthcare services.  The pledge was made amidst concerns about limited services at domestic health centres in the country.

Earlier the same month, the Ministry of Health had told Minivan News that insufficient salaries and concerns over staff safety were key issues driving “shortages” in the number of trained medical staff coming from abroad to work at hospitals in the Maldives, resulting in impacts to services.

However, despite economic difficulties facing the provision of health care in the Maldives at domestic hospitals and health centres, Luthfee said that Aasandha was funded and overseen by the NSPA under a separate budget budget to health finance – which was handled by the health Ministry.

He claimed that the outcome of extending Aasandha coverage for residents in Sri Lanka and India would need to be monitored to see if the system could be extended to for Maldivian expatriates in other parts of the world.

Monitoring

Luthfee claimed that one key consideration of the success of expanding Aasandha coverage would in whether Maldivians used the scheme “responsibly”.

Shortly after the launch of the scheme in January 2012, Health Minister Dr Ahmed Jamsheed – then Chief Operating Officer at Male’s ADK hospital – said the private health centre had been overwhelmed at the time by patients. He cited a 100 percent increase in demand for basic services in the first 14 days of the scheme.

Dr Jamsheed at the time contended that limited information on Aasandha’s financial structure was leading some members of the public to exaggerate their medical needs, with the mindset that all of their MVR100,000 allowance needed to be spent without regard for the system’s sustainability.

Luthfee claimed today that initial high pressure on the Aasandha system as a result of exaggerated medical needs had seemingly been tempered by greater accountability and a better understanding among the public of how the system was being financed.

“We have been able to balance this, partly through the use of a cost share agreement with private institutions participating in Aasandha,” he said.

Luthfee argued that the potential irresponsible use of universal medical care limiting services for the most in need was an issue initially seen in the early days of public healthcare systems all over the world – pointing to the early days of the UK’s National Health Service (NHS) model as one example.

He claimed that despite some of the challenges facing the system, Aasandha was now being operated in sustainable manner resulting from decreased costs to when the system was launched last year.  He claimed that despite the decreased costs, services offered through the scheme had not been compromised as a result.

Credit limits

Earlier this year, the Amrita Institute of Technology Hospital in Kochi, India, announced that it had been forced to impose a credit limit on services being offered to Maldivian nationals travelling for treatment under Aasandha.

As with other similar insurance schemes, the hospital at the time told Minivan News that it had been forced to control patient admittance as a result of over 7 million rupees (US$130,536) in unpaid charges.

Aasandha’s management said there had been some issues receiving money from the Finance Ministry to cover bills owed as a result of the insurance scheme last December – traditionally a “peak” period for Maldivians wishing to seek medical treatment abroad.

A spokesperson for the hospital could not be reached for comment today.

However, Cosmopolitan Hospital in Travandrum, India, one of several health centres “empanelled” under the Aasandha scheme, said it continued to offer medical services to Maldivian nationals under the programme.

The spokesperson added that he had not been made aware of any issues presently with payments or services being provided through the system.

Nawaloka Hospital, based in Colombo, Sri Lanka, which is also offers treatments under Aasandha, confirmed that it was not aware of any issues with payments being received for treatments and continued to provide medical services to Maldives nationals without any significant limitations.

Last July, the present government pledged that Aasandha would “not collapse”, despite the state owing four months of unpaid premium charges sought to cover medical treatments.

Likes(0)Dislikes(0)

Low salaries and safety issues keeping foreign doctors away: Health Ministry

The Ministry of Health has identified salaries and staff safety as the key issues driving “shortages” in the number of trained medical staff coming from abroad to work at hospitals in the Maldives.

Permanent Secretary at the Ministry of Health Geela Ali said that authorities were in the process of trying to recruit a number of medical specialists from across the region, adding that efforts were needed to overcome the various “issues” limiting interest from foreign professionals in coming to the Maldives.

The comments were made as Dr Mohamed Habeeb, presently in charge of Indira Gandhi Memorial Hospital (IGMH) in Male’, last week raised concerns in local media about a serious shortage of doctors, which he said was having a major impact on services.

IGMH Media Correspondent Zeenath Ali explained to Minivan News today that although paediatric services had been suspended temporarily at IGMH three months ago due to a lack of qualified staff, the services were now operating as normal.

“Previously, we had an issue with the numbers of doctors due to some resignations and contracts finishing,” she said of the difficulties faced three months ago.

Zeenath added that while the issue of having no paediatric staff had since been resolved, IGMH has requested assistance from the Health Ministry in recruiting additional medical specialists to meet patient demand in the capital.

Despite this high demand for medical services, she said IGMH had not since been forced to terminate entire services at the hospital as a result of staff numbers.

“We have four paediatricians presently working at the hospital. But it remains difficult on the international market to try and attract paediatricians to join us,” she said.

According to Zeenath, IGMH has also requested that additional anaesthesiologists be hired to meet the hospital’s present workload. She added that the Ministry of Health was said to be working on recruiting more staff to cope with patient demand.

Speaking about these recruitment efforts, Health Ministry Permanent Secretary Geela said there was presently a shortage of medical staff at hospitals and health centres across the country as a result of ongoing issues – not least in the basic salary packages offered by the state.

“We have been running adverts to try and find qualified staff across the region, but so far we are not seeing adequate response from other countries,” she said.

Geela claimed that salary was among the most prevalent issues authorities had identified as being responsible for shortages in medical staff, with the government pledging to raise wages from January 2014 should the proposals gain parliamentary approval.

“This will allow us to offer better salaries from 2014 and we hope there will be more interest internationally,” she said.

Staff safety

Another challenge for attracting foreign medical staff was ensuring the safety of staff, particularly in the outer atolls.

Geela said that the Health Ministry could not alone ensure safer working environments for foreign medical staff, with wider support from the government and public needed.

“We need a societal approach to try and combat this problem. When we place staff on islands, community support is required to make sure they are looked after,” she said.

Threats

IGMH’s orthopaedic department temporarily ceased working last month after a group of people allegedly threatened a member of staff who had refused to provide a doctor’s note for overseas treatment through the Maldives’ nationwide health insurance scheme, ‘Aasandha’.

A patient, who asked for the doctor’s recommendation to receive medical treatment abroad, was first told by IGMH that such a recommendation could not be made because his injury could be treated in the hospital, according to a statement issued by IGMH.

The hospital claimed the man then refused treatment from IGMH before coming back to the hospital with a group of 10 men who threatened to attack the doctor, stating that he too would have to seek medical treatment through ‘Aasandha’ if he did not write the recommendation note.

The hospital at the time said it was considering the use of police officers maintain security on site following concerns about threats of violence to staff.

Minivan News reported in September 2012 on the alleged widespread intimidation, fraud and “substandard” treatment by patients, health authorities, local staff and the country’s courts faced by expatriate medical professionals in the Maldives.

Likes(1)Dislikes(0)

IGMH doctors threatened by group of men after not signing for overseas treatment on Aasandha

Indira Gandi Memorial Hospital (IGMH)’s orthopedic department has stopped work after a group of people threatened an orthopedist, seeking a doctor’s note for treatment overseas through the Maldives’ nationwide health insurance scheme ‘Aasandha’.

The person who asked for the doctor’s recommendation to receive medical treatment abroad was first told by IGMH that such a recommendation could not be made because his injury could be treated in the hospital, according to a statement issued by IGMH.

The hospital claimed the man then refused treatment from IGMH.

IGMH said the same person later came into the hospital with a group of 10 men and threatened to attack the doctor, stating that he too would have to seek medical treatment through ‘Aasandha’ if he did not write the recommendation note.

The doctor then filled in the form for the man to receive treatment abroad, according to IGMH.

Aasandha’s free medical treatment is provided only when a doctor completes the special designated form.

The person sought out the doctor during a departmental staff meeting, according to IGMH.

Head of the Orthopedic Department Dr Ali Muznee told newspaper ‘Haveeru’ that in the past doctors have been subjected to such threats individually, but today the group threatened all the doctors working in the Orthopedic Department.

IGMH also said today that they are considering having police officers maintain security in the hospital after the incident.

Minivan News reported in September 2012 the widespread intimidation, fraud and “substandard” treatment by patients, health authorities, local staff and the country’s courts faced by expatriate medical professionals in the Maldives.

One foreign doctor who spoke to Minivan News sat the time said there was a lack of public understanding concerning the scheme and what they were entitled to.

“They become very angry when we tell them that this or that medical condition is not covered by Aasandha. A lot of times they force the management to force us to fabricate a medical condition just to get Aasandha approval,” he said.

Likes(0)Dislikes(0)

Government to review doctor salaries

The government is to review that salaries of doctors in the Maldives after reviewing a paper submitted to cabinet by the Ministry of Health.

According to the President’s Office the cabinet advised the president to amend the salary structure from 2014, to address some of the difficulties the country is facing in attracting foreign doctors.

Minivan News reported in September 2012 that expatriate medical professionals working in the Maldives regularly face intimidation, fraud and “substandard” treatment from patients, health authorities, local staff and the country’s courts.

One expatriate medical professional, who has worked in several posts across the country since 2009, revealed that along with widespread reneging on contracts and failing to deal with intimidation of expatriate medical staff, health officials had, in certain cases, not even checked whether foreign doctors were registered to practice medicine.

Likes(0)Dislikes(0)

Adhaalath calls for caution over Jewish doctor visit

The religious Adhaalath Party has claimed the Maldivian public should be cautious of a team of Israeli doctors coming to the country this week to help perform eye surgery treatments, alleging that some medical staff from the nation have been involved in harvesting organs from “murdered Palestinians”.

Citing a press released sourced from the Adhaalath Party, Haveeru reported that the team of doctors, which form part of an organisation called Eye from Zion, are suspected of being financially supported during their visit by the American Jewish Joint Distribution Committee (JDC).

According to the release, the JDC is claimed to be a missionary group, though the organisation’s official website lists itself as a body to provide “humanitarian assistance”.
“A doctors’ team from Eye from Zion is visiting the Maldives in this eye camp. Do not think that they are from a normal hospital. We also understand that the doctors’ team is accompanied by an Israeli Foreign Ministry delegation,” quoted Haveeru from the Adhaalath press release.

The party has claimed that it is not trying to create a panic among the public, but added that it aimed to bring attention amongst international media of the alleged “actions against our brothers and sisters of Palestine.”

Haveeru added that the religious conservative political party had also accused the Maldives government of having “secret relations” with their Israeli counterparts.

Likes(0)Dislikes(0)